摘要
目的 探讨首诊为轻、中型颅脑损伤患者的死亡原因. 方法回顾性分析2004-2008年急诊收治的44例轻、中型颅脑损伤死亡患者.男35例,女9例;年龄19～85岁,平均53岁.轻型颅脑损伤（GCS 13～15分）17例,中型颅脑损伤（GCS 9～12分）27例.致伤原因：交通伤18例,摔伤18例,坠落伤6例,不明原因2例.手术治疗18例,保守治疗26例. 结果25例（57%）死于脑疝,15例（34%）死于各种并发症,2例（5%）死于多发伤,2例（5%）为非颅脑损伤所致的猝死. 结论脑疝是轻、中型颅脑损伤患者的主要死因.在治疗原发颅脑损伤的同时,要注意防治并发症和多发伤.人为因素可以严重影响预后,应引起重视.
Objective To discuss the death causes in patients diagnosed initially as mild to moderate craniocerebral trauma. Methods A retrospective study was done on 44 deaths, who arrived at the emergency department with a mild or moderate craniocerebral trauma from 2004 to 2008. There were 35males and nine females at age range of 19-85 years （average 53 years）. There were 17 patients with Glasgow coma score （GCS） 13-15 points and 27 with GCS 9-12 points. The causes of injury included road traffic accidents in 18 patients, tumbling in 18, falling from height in six and unknown factors in two respectively. Of all, 18 patients underwent surgical intervention and 26 received conservative therapy.Results The causes of death were cerebral hernia in 25 patients （57%）, various complications in 15（34%）, multiple trauma in two （5%） and sudden death in two （5%） respectively. Conclusions The primary death cause is cerebral hernia in the patients with mild to moderate craniocerebral trauma.Attention should be paid to prevention and control of complications and multiple trauma during treatment of primary head injury. The prognosis may be badly affected by human factors.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2010年第9期802-804,共3页
Chinese Journal of Trauma
关键词
颅脑损伤
死亡原因
格拉斯哥昏迷评分
神经外科手术
Craniocerebral trauma
Cause of death
Glasgow coma scale
Neurosurgical procedures
